Chesterbrook Academy #828

The center must request a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years prior to employment.

“At the time of inspection, the center did not have documentation that a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry had been requested for a state in which Staff #4 has resided in the preceding five years. Staff #4 has been employed for five months.”

Rule 22.1-289.035-B-4.

Documentation of a Tuberculosis (TB) screening shall be signed by a physician, physician’s designee, or an official of the local health department.

“At the time of inspection, Staff #3’s TB screening was not signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“At the time of inspection, Classroom #1 and Classroom #2 did not have at least one staff member who meets the qualifications of a program leader present.”

Rule 8VAC20-780-340-D.

If a reference check is taken over the phone, documentation shall include dates of contact and signature of person making the call.

“At the time of inspection, documentation of reference checks for Staff #8 did not include dates of contact and signature of person making the call.”

Rule 8VAC20-780-70.

The center shall maintain a written record of children’s minor injuries that shall include the date and time when parents were notified and documentation on how parent was notified.

“3 out of 5 injury reports reviewed did not include the date and time when parents were notified and documentation on how parent was notified.”

Rule 8VAC20-780-550-P.

For all applicants for employment , the center must request the results of a sex offender check from any state in which the individual has resided in the preceding five years prior to employment.

“The center did not request the results of a sex offender check for a state in which Staff #1 and Staff #2 have resided in the preceding five years. Staff #1 has been employed for 11 weeks and Staff #2 has been employed for 4 weeks.”

Rule 22.1-289.035-B-4.

Annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

“Annual approval from the health department for meeting requirements for water supply and sewage disposal system was not provided.”

Rule 8VAC20-780-260-B.

Repeat violation

“Areas and equipment, inside, shall be maintained in a safe condition. There was chipped paint on walls in two classrooms. There were two rolls of plastic bags on the bathroom floor of the 3 to 4 year old classroom, accessible to children, posing a suffocation hazard.”

Rule 8VAC20-780-270-A.

Repeat violation

“Each center shall maintain a separate record for each child enrolled which shall contain documentation of child updates and confirmation of up-to-date information in the child’s record. The most recent documented update for Child #2 and Child #4 was dated 22 months ago.”

Rule 8VAC20-780-60-A.

Each center shall maintain a separate record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“There was no written care plan for Child #3 who has a diagnosed food allergy. Child #3 has been enrolled for 2 months.”

Rule 8VAC20-780-60-A-8.

Based on observation, areas and equipment of the center, inside, were not maintained in a safe and operable condition.

“Evidence: There was chipped and peeling paint on the wall under a window in the Beginner A classroom.”

Rule 8VAC20-780-270-A.

Repeat violation

“Based on record review, the center did not obtain all information for 1 out of 8 children’s records. Evidence: Child #6’s (start date: 06/13/2023) record did not contain a name, address and phone number of two designated people to call in an emergency.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on record review, the center failed to obtain documentation that each child has received required immunizations. Evidence: Child #5 (start date: 07/05/2022) did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to ensure that all lead teachers met the program leader qualifications.

“Evidence: 1. Staff #6 confirmed that Staff #5 has been an acting lead teacher for approximately 1-2 months. Staff #5 is not lead qualified. 2. Staff #6 confirmed that Staff #4 has been an acting lead teacher since June. Staff #4 is not lead qualified.”

Rule 8VAC20-780-210-A.

Based on record review and staff interview, the center failed to ensure that in each grouping of children at least one staff member who meets qualifications of a program leader was present.

“Evidence: 1. Staff #4 works alone in the Toddler B- 2 classroom. Staff #4 is not lead qualified. 2. Staff #5 works alone in the Infant B classroom. Staff #5 is not lead qualified.”

Rule 8VAC20-780-340-D.

Based on observation and record review, the center failed to ensure that at least one staff in each classroom have a current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid.

“Evidence: 1. Staff #7 and Staff #8 were working together in the Intermediate A classroom. Staff #7 and Staff #8 do not have a current certification in CPR and First Aid. 2. Staff #9 was working alone in the Intermediate B classroom. Staff #9 does not have a current certification in CPR and First Aid.”

Rule 8VAC20-780-530-A.

Repeat violation

“Based on record review, the center failed to obtain all information for children’s records. Evidence: 1. Child #3?s (start date: 12/05/2022) record did not contain documentation of viewing proof of the child’s identity and age. 2. Child #5?s record did not contain documentation of confirmation of up-to-date information. The most recent update was dated 07/05/2022. 3. Child #7 (start date: 08/28/2023) did not have a record at the time of inspection.”

Rule 8VAC20-780-60-A.

Based on record review and staff interview, the record of each child on formula did not contain the brand of formula and the child’s feeding schedule.

“Evidence: Staff #2 stated that they did not have documentation of the brand of formula or feeding schedule for children on formula.”

Rule 8VAC20-780-570-C. From a complaint.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child could attend the center.

“Evidence: Child #1 (start date: 08/25/2022) did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

Based on record review, the center did not obtain all information for children’s records.

“Evidence: Child #5’s (start date: 01/09/2023) record did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on staff interview and policy review, staff failed to follow the center’s own policies and procedures on bottle feeding verification.

Rule 8VAC20-780-40-E.

Based on observation, areas of the center, inside, were not maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

8VAC20-780-60-A-8

“Based on record review and interview, a written care plan has not been obtained for each child with a diagnosed food allergy. Evidence: Child #6 has a diagnosed food allergy and has emergency medication kept on site in case of an accidental ingestion of an allergen. Child #6’s record does not contain an allergy action plan”

Rule 8VAC20-780-60-A-8.